KAVITHA TATINENI (NPI# 1568754604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568754604 |
| Entity Type | Individual |
| Full Name | KAVITHA TATINENI |
| Credential | NP |
| Practice Address |
110 Kingsley Ln Suite 106 Norfolk VA 23505-4614 |
| Mailing Address |
110 Kingsley Lane Suite 106 Norfolk VA 23505 |
| Practice Telephone | 7573542885 |
| Practice Fax Number | 7578895742 |
| Mailing Telephone | 7573542885 |
| Mailing Fax Number | 7578895742 |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 0024169300 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
110 KINGSLEY LN SUITE 106 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459347 | Migdonia Montejo | Specialist | 110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 | 2005-07-07 |
| 1841647120 | Kristi Meibers | Nurse Practitioner | 110 Kingsley Ln, Ste 309, Norfolk, VA 23505-4614 | 2016-05-17 |
| 1093173528 | Ebony Shanay Canady | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2016-01-28 |
| 1588036602 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 110 Kingsley Ln, Ste. 403, Norfolk, VA 23505-4614 | 2015-10-28 |
| 1073989240 | Tidewater Speech and Language Services | Speech-Language Pathologist | 110 Kingsley Ln, Suite 209, Norfolk, VA 23505-4614 | 2015-08-11 |
| 1346632601 | Lakeisha O'neal | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2015-02-24 |
| 1023423340 | Laura Riddle | Nurse Practitioner | 110 Kingsley Ln, Suite 411, Norfolk, VA 23505-4614 | 2014-06-25 |
| 1255760997 | Anne Chisman Abraham | Social Worker | 110 Kingsley Ln, Suite 401, Norfolk, VA 23505-4614 | 2013-11-04 |
| 1184961690 | David T. Marshall, Dds, PC | Dentist | 110 Kingsley Ln, Suite 203, Norfolk, VA 23505-4614 | 2013-01-04 |
| 1003163171 | Maryview Hospital | Counselor | 110 Kingsley Ln, Ste 206, Norfolk, VA 23505-4614 | 2012-08-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918880 | Amesha Renee Custis | Nurse Practitioner | 2647 Jason Ave, Norfolk, VA 23509-1073 | 2020-09-24 |
| 1447802640 | Barbara Mato | Nurse Practitioner | 150 Kingsley Ln # Er, Norfolk, VA 23505-4602 | 2019-07-09 |
| 1881257368 | Farrington Cares, P.l.l.c. | Nurse Practitioner | 6355 Trafalgar Ct, Norfolk, VA 23513-1536 | 2019-04-19 |
| 1609383629 | Crystal B Moring | Nurse Practitioner | 208 E Plume St Ste 213, Norfolk, VA 23510-1757 | 2017-12-29 |
| 1073034849 | Nicole A Ferenc | Nurse Practitioner | 160 Kingsley Ln Ste 405, Norfolk, VA 23505-4600 | 2017-07-03 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1104202720 | Ashley Haller | Nurse Practitioner | 400 Gresham Dr Ste 303, Norfolk, VA 23507-1901 | 2015-08-05 |
| 1407271539 | Lori L Reimer | Nurse Practitioner | 6333 Center Dr # 16, Norfolk, VA 23502-4126 | 2014-02-26 |
| 1699782920 | Courtney T Amoah | Nurse Practitioner | 301 Riverview Ave Ste 500, Norfolk, VA 23510-1066 | 2006-08-01 |
| 1841816022 | Melissa Marie Davis | Nurse Practitioner | 600 Gresham Dr, Norfolk, VA 23507-1904 | 2020-06-23 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.